DR. KETA BHAKTA (NPI# 1871930396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871930396 |
| Entity Type | Individual |
| Full Name | DR. KETA BHAKTA |
| Practice Address |
13551 Balsam Ln N Dayton MN 55327-9464 |
| Mailing Address |
524 98th Ln Ne Blaine MN 55434-1354 |
| Practice Telephone | 7634221714 |
| Mailing Telephone | 6123880595 |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D13212 | MN | Dental Providers |
| Street Address |
13551 BALSAM LN N |
| City | DAYTON |
| State | MN |
| Zip Code | 55327-9464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265651038 | Patrick Anthony Aydt | Dentist | 13551 Balsam L, Dayton, MN 55327 | 2007-04-24 |
| 1992847453 | Raintree Dental | Dentist | 13551 Balsam Ln, Dayton, MN 55327 | 2007-02-13 |
| 1093851354 | Jaimie Nicole Hoiland | Dentist | 13551 Balsam Lane, Dayton, MN 55327 | 2007-01-30 |
| 1154692416 | Lisa Brittany Sanchez | Physical Therapist | 13691 Pineview Ln N, Dayton, MN 55327-9461 | 2012-01-18 |
| 1326521865 | Healing Menagerie Acres | Physical Therapist | 13691 Pineview Ln N, Dayton, MN 55327-9461 | 2018-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043176 | Tyreal Nycole Love | Home Health Aide | 506 Geneva Rd, Dayton, OH 45417-1349 | 2020-11-06 |
| 1114528296 | James Aaron Brooks | Massage Therapist | 806 Picket Pl, Dayton, OH 45433-1325 | 2020-11-04 |
| 1902407117 | Serene Home Health Services | Home Health | 4812 Frederick Pike Ste 105, Dayton, OH 45414-3835 | 2020-11-04 |
| 1508467135 | Nancy Fratini | Homemaker | 5316 Split Rail, Dayton, OH 45429-1963 | 2020-11-02 |
| 1437759016 | Laura K Baggette | Music Therapist | 1364 Black Forest Dr Apt 70, Dayton, OH 45449-3800 | 2020-10-31 |
| 1679173355 | Anna Guajardo | Homemaker | 420 Grove Ave, Dayton, OH 45404-1912 | 2020-10-30 |
| 1992305700 | Jason Patrick Scoles | Military Health Care Provider | 5607 Hickam Dr, Dayton, OH 45431-1544 | 2020-10-30 |
| 1174123806 | Gary Lovings | Technician | 1553 Roamont Dr, Dayton, OH 45459-3361 | 2020-10-30 |
| 1245830074 | Progressivehealth Healthspot | Clinic/Center | 500 Walnut Grove Rd, Dayton, TN 37321-5941 | 2020-10-30 |
| 1588264204 | Jennifer Ann Scholl | Contractor | 2551 Hilton Dr Apt 1, Dayton, OH 45409-1822 | 2020-10-30 |
| Find all providers in DAYTON | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687692 | Julianne Fanny Avrutik | Dentist | 395 Ridge Rd Ste 5, Dayton, NJ 08810-1398 | 2019-09-09 |
| 1407414527 | Punyawat Laohakanjanasiri | Dentist | Dayton Va Medical Center/dental Services, 4100 W Third, Dayton, OH 45428 | 2019-06-04 |
| 1649765876 | Ryan Conner Tutor | Dentist | 225 Main St Ste 400, Dayton, TN 37321-1329 | 2018-06-29 |
| 1043765985 | Supriya Sharma | Dentist | 2411 Miamisburg Centerville Rd, Dayton, OH 45459-3723 | 2016-08-21 |
| 1932440724 | Shelhouse Dental Group LLC | Dentist | 1601 Needmore Rd, Dayton, OH 45414-3855 | 2013-03-05 |
| 1316288103 | Shelhouse Comprehensive Dental LLC | Dentist | 5335 Far Hills Ave Ste 210, Dayton, OH 45429-2317 | 2013-03-05 |
| 1346586682 | Jeffrey Craig Miller | Dentist | 4450 Linden Ave., Dayton, OH 45432 | 2012-12-13 |
| 1124307202 | Brooke D Goodwin | Dentist | 101 Heartland Ct, Dayton, VA 22821-9000 | 2011-08-08 |
| 1760795785 | Kokila Punia | Dentist | 1309 Blossom Cir, Dayton, NJ 08810-2414 | 2010-07-19 |
| 1164606687 | Modern Dental Professionals-lee,inc | Dentist | 5561 Salem Ave, Dayton, OH 45426-1451 | 2007-12-19 |
| Find all providers in DAYTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.